Tips to prevent reject reason code 34538
Read this article for tips on how to prevent reject reason code 34538.
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Current processing issues for Part A and Part B
This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.
Returned or rejected as unprocessable claims affect timely filing
A claim must be submitted to Medicare no later than one year after the date of service to be considered filed timely. Claims...
Incarcerated beneficiary
View these guidelines for a beneficiary who is incarcerated or in custody at the time items and services are furnished.
Method II critical access hospital: Professional billing requirements for emergency department services
New section, Emergency department procedure codes for Method II CAH, added to the Medicare Claims Processing Manual Pub.100-04...
Use of JW and JZ Modifiers when Billing for Separately Payable Incident-to Supplies
Effective January 1, 2026, the application of the JW and JZ modifiers has changed for certain skin substitutes per the calendar...
Avoiding hospice claim rejects
Providers billing Medicare should determine if a patient is enrolled in hospice before billing Medicare Part A. This article has...
Tips to prevent reason code 326x4
Review this article if your claim is returning for reason code 326x4.
Tips to prevent reject reason code C7010
Read this article for tips on how to prevent reject reason code C7010.
Tips to prevent claim adjustment reason code (CARC) CO 97
There are a few scenarios that exist for denial reason code CO 97, as outlined below. Please review the associated remittance...